1492 Pharma Group Corp
NPI #1417968058 in South Miami, Florida
Provider Information
- NPI Number
- 1417968058
- Entity Type
- Organization
- Organization Name
- 1492 Pharma Group Corp
- Primary Specialty
- Pharmacy
- Enumeration Date
- Aug 10, 2006
- Last Updated
- Dec 12, 2022
Practice Location
- Address
- 6420 SW 62ND AVE
- City
- South Miami
- State
- Florida
- ZIP Code
- 33143-3302
- Phone
- (305) 665-4411
Authorized Official
- Name
- SONIA ELENA MARTINEZ, BSPHARM
- Title
- PRESIDENT
- Phone
- (305) 665-4411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy |
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